Profile Shop, Inc.

LBN: Profile Shop, Inc.
Profile Shop, Inc. is an health care organization with primary practice located at 45 Second Street Pike Suite 300, Southampton PA 18966-3806. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Profile Shop, Inc. can be contacted via phone (215) 355-5788, or through Gesualdi, Diane L via phone (215) 355-5788.

Contact Information

Primary practice address
45 Second Street Pike Suite 300 Southampton PA 18966-3806
Fax: (215) 355-5778
Website:
Authorized official contact:
Name: Gesualdi, Diane L CMF

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 6000005802 Pennsylvania

Profile Details

NPI number 1982984530
LBN Legal business name Profile Shop, Inc.
DBA Doing business as
Authorized official Gesualdi, Diane L CMF
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 26th, 2011
Last updated Sep 26th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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